Mercy Health System Corporation

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

310800 Issued in WI

Legal business name

MERCY HEALTH SYSTEM CORPORATION

Doing business as

Mercy Elkhorn Medical Center

Practice address

839 N Wisconsin St
Elkhorn, WI 53121-4541

Phone

(262) 741-1400

Fax

(262) 740-3838

NPI assigned

Mar 26, 2013

Last updated

Jan 10, 2017By the provider in NPPES

Organization subpart

Yes

Parent organization

MERCY HEALTH CORPORATIONAs reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

John W Cook

Title

Senior VP/Cfo

Phone

(608) 756-6000

Specialties & licenses 1

Addresses

Other names 1

• MERCY ELKHORN MEDICAL CENTER Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1364256000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1484006400000",
    "number": "1891037024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 MINERAL POINT AVE",
            "city": "JANESVILLE",
            "state": "WI",
            "postal_code": "535482940",
            "telephone_number": "608-756-6000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "839 N WISCONSIN ST",
            "city": "ELKHORN",
            "state": "WI",
            "postal_code": "531214541",
            "telephone_number": "262-741-1400",
            "fax_number": "262-740-3838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MERCY HEALTH SYSTEM CORPORATION",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MERCY HEALTH CORPORATION",
        "enumeration_date": "2013-03-26",
        "last_updated": "2017-01-10",
        "status": "A",
        "authorized_official_last_name": "COOK",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "SENIOR VP/CFO",
        "authorized_official_telephone_number": "608-756-6000"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "WI",
            "license": "310800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MERCY ELKHORN MEDICAL CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Dyanna L May-Dujardin
• Gregory Mayzus, PA
• Laurie Ann Mediate, L.P.N.
• Megan Kathleen Meister, OTR
• Kathleen K Mengel, PT
• Peter Metke
• Richard E Meyer, PTA
• Alexa Mezera
• Midwest Emergency Associates - Lakeland, SC
• Ashley Mika, LCPC, LPC, NCC, CGP

• Durable Medical Equipment & Medical Supplies in Elkhorn, WI
• Providers in Elkhorn, WI by specialty
• Durable Medical Equipment & Medical Supplies in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.